Individual provider Active NPI

Daban Lim

  • Occupational Therapist
  • Queens, NY
National Provider Identifier
1548046238
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028106 Issued in NY
Practice address
107-02R Jamaica Ave
Richmond Hill
Queens, NY 11418
Phone
(347) 829-3890
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 028106 NY Primary

Addresses

Primary practice location

107-02R Jamaica Ave
Richmond Hill
Queens, NY 11418

Mailing address

318A Roff Ave
Palisades Park, NJ 07650-6707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009001223 NY Practitioner - Occupational Therapist in Private Practice 3779938998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Visiting Therapy Service PT OT and SLP PLLCGroup PAC ID 7810373719, 3 clinicians

Practice addresses (Care Compare)

1840 E 14TH St
Brooklyn, NY 11229-2800
Phone (929) 505-9727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028106NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Concept Rehabilitation Medicine PC CurrentSince Apr 10, 2025 Accepting new patients
Visiting Therapy Service PT OT & SLP PLLC Occupational Therapist CurrentSince May 20, 2025 Accepting new patients
Physical Care PT PC CurrentSince Sep 10, 2023 Accepting new patients
Easy Care Medical Services P.C. CurrentSince Aug 26, 2023 Accepting new patients

Locations

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

1840 E 14th St
Brooklyn, NY 11229
Phone (347) 286-1383

18515 HL Side Ave
Jamaica, NY 11432
Phone (718) 262-8651

7907 Metropolitan Ave
Middle Vlg, NY 11379
Phone (347) 286-1383

10702 Jamaica Ave
#R
Richmond Hill, NY 11418
Phone (347) 829-3840

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1548046238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318A ROFF AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076506707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107-02R JAMAICA AVE",
            "address_2": "RICHMOND HILL",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "347-829-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "DABAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.